45D2292795 CLIA NUMBER - COASTAL ER XI, LLC PHYSICIANS PREMIER

Laboratory Demographics

  • CLIA Code: 45D2292795
  • Facility Name: COASTAL ER XI, LLC PHYSICIANS PREMIER
  • Facility Address: 12314 POTRANCO ROAD, SUITE 102
    SAN ANTONIO, TX
    ZIP 78253
  • Facility Phone: 210 981-3001
  • Facility Type: Other - FREESTANDING EMERGENCY ME
  • Facility Type: Accreditation
  • Lab Director: DR. GREGORY YU
  • NPI Number: 1558132365
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2292795
LAB Type Other - FREESTANDING EMERGENCY ME
Facility Name COASTAL ER XI, LLC PHYSICIANS PREMIER
Street 12314 POTRANCO ROAD, SUITE 102
City SAN ANTONIO
State TX
ZIP 78253
Phone 210 981-3001
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Other - FREESTANDING EMERGENCY ME
Lab Director DR. GREGORY YU

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This page was last updated on: 9/29/2025